ssk_logo.png

The Annals of African Surgery is the official publication of the Surgical Society of Kenya.

 

All content copyright © 2020 Annals of African Surgery.

ISSN (print): 1999-9674; ISSN (online): 2523-0816

Main Office Location: Menelik Medical Centre, Menelik Road, off Ngong Road, Nairobi. First floor.

Telephone: +254715260499

Email: info@annalsofafricansurgery.com.

 

The content on this site is intended for health professionals. Advertisements on this site do not constitute a guarantee or endorsement by the journal, Association, or publisher of the quality or value of such product or of the claims made for it by its manufacturer.

70.png
69.jpg
hinari_header_en.png

Laser Hemorrhoidoplasty: Experience at Aga Khan University Hospital

Abdallah Abdulkarim, Misoi Brian, Gathege Daniel

Aga Khan University Hospital​

Correspondence to: Dr. Abdallah Abdulkarim, P.O Box 30270-00100, Nairobi. Email: abdulkarim.abdallah@aku.edu

Abstract

Background: Haemorrhoidal disease is the commonest benign anal condition diagnosed in the outpatient set-up. Interventional treatment options range widely from office-based procedures to haemorrhoidectomy. There is increasing use of laser technology in the field of proctology. We present our index clinical outcomes following laser haemorrhoidoplasty (LHP). Methodology: Retrospective cross-sectional study of 21 consecutive patients who underwent LHP between the year 2015 and 2018 under a single surgeon. Their outcomes were compared to a group of patients who underwent the standard open haemorrhoidectomy over the same period of time. Results: Post operatively, 85.7 % of patients post laser haemorrhoidoplasty had a better pain scores (mild) compared to 66.7% in the open haemorrhoidectomy group. The mean operative time in minutes was shorter for LHP, 29.67±17.50 versus 39.20±20.77 in the open group. Duration of hospital stay in days between the two groups were similar; LHP group median=1(1-3), open group median =1 (1-3). Rates of infection, recurrence and urinary complications were however higher in the laser group, 4.8%, 9.5% and 9.5% respectively as compared to the open haemorrhoidectomy group that were 0%, 6.7% and 6.7 % respectively. Both groups had no reported cases of stool or flatus incontinence. Conclusion: Laser haemorrhoidoplasty is associated with reduced pain scores and shorter operative time when compared to the open haemorrhoidectomy group. Duration of hospital stay were however similar in both groups. The rates of complications were observed to be high in the study group.

Key words:Laser haemorrhoidoplasty, Pain score, Complications, Open haemorrhoidectomy

Ann Afr Surg. 2020; 17(2):***

DOI: http://dx.doi.org/10.4314/aas.v16i1.*

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

  • Twitter
  • Facebook Social Icon
  • LinkedIn